Colorectal Cancer Roundtable Colorectal Cancer in Arizona April 11, 2016 Arizona Cancer Registry Georgia Yee, Office Chief Bureau of Public Health Statistics Health and Wellness for all Arizonans
Arizona Cancer Registry • Who we are? – Population-based surveillance system that collects, manages, and analyzes information on the incidence and survival of Arizona residents diagnosed with cancer. • Where do the cases come from? – Hospitals, free-standing clinics, physicians, pathology laboratories, data exchanges, and death certificates. Health and Wellness for all Arizonans
All Causes of Invasive Cancer – Top 5 Leading Cancer Sites 2012 Diagnosis Year MALE FEMALE 1.Prostate (2,685) 1.Breast (4,159) 2.Lung & Bronchus (1,932) 2.Lung & Bronchus (1,869) 3.Colorectal (1,379) 3.Colorectal (1,166) 4.Bladder, incl. In situ (1,059) 4.Uterus (889) 5.Cutaneous Melanoma 5.Thyroid (832) (893) Note: Total Numbers for colorectal may be different than slide #7 due to when information retrieved from database. Health and Wellness for all Arizonans
Comparison of Invasive Colorectal Cancer Arizona to U.S. Rates * U.S. incidence rates are from North American Association of Central Cancer Registries (NAACCR) age adjusted incidence rates: NAACCR Fast Stats 2008-2012. North American Association of Central Cancer Registries; Based on data submitted December, 2014. Accessed at http://faststats.naaccr.org/selections.php?series=cancer on June 16, 2015. **Arizona and U.S. Mortality rates are from Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999- 2014 on CDC WONDER Online Database, released December 2015. Data are from the Compressed Mortality File 1999-2014 Series 20 No. 2T, 2015, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/cmf-icd10.html Health and Wellness for all Arizonans on Apr 4, 2016
Age-Adjusted Invasive Colorectal Cancer Incidence Rates Race/Ethnicity and Sex by Diagnosis Year, 2008-2012 Health and Wellness for all Arizonans * Year to year case count variability was identified in reported cases of American Indians and Asian & Pacific Islanders.
Percentage of Colorectal Cancer Cases by SEER Summary Stage,* 2008-2012 Health and Wellness for all Arizonans *Summary Stage is the Surveillance Epidemiology and End Results (SEER) Summary Stage 2000
Colorectal Cancer Case Count* by Age Group and Diagnosis Year, 2008-2012 Health and Wellness for all Arizonans * Case Count includes in situ and invasive cases.
Early/Late Stage* by Race/Ethnicity and Diagnosis Year Colorectal Cancer, 2008-2012 PERCENT OF EARLY/ LATE STAGE Health and Wellness for all Arizonans *Early Stage = In Situ and Local Stage; Late Stage= Regional and Distant using SEER Summary Stage
Early/Late Stage by Age Group and Diagnosis Year Colorectal Cancer, 2008-2012 Health and Wellness for all Arizonans * Early Stage = In Situ and Local Stage; Late Stage = Regional and Distant using SEER Summary Stage
Five Year Relative Survival of Invasive Colorectal Cancer by Stage, 1995-2009 Health and Wellness for all Arizonans
Age-Adjusted Colorectal Cancer Mortality Rates by Race/Ethnicity* and Sex, 2008-2012 Health and Wellness for all Arizonans * Total of 11 cases had an unknown race. ** Counts for these races are <10 for some or all of the years. Therefore, rates are highly unstable and should be used with caution.
-End- Thank You Contact Information - Bureau of Public Health Statistics: Office Chief: Georgia.yee@azdhs.gov Epidemiologist: Chris.newton@azdhs.gov The Centers for Disease Control and Prevention provide support for enhancement to the registry under cooperative agreement 5U58DP003858. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention Health and Wellness for all Arizonans
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